MaineHealth - Memorial Hospital
3073 White Mountain Highway, North Conway, NH · MaineHealth · · NPI 1760436216
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $123.20 – $627.15 | 7 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $131.80 – $670.95 | 7 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $355.95 | 7 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $34.38 – $78.62 | 8 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $718.47 – $1,422.42 | 8 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $65.32 – $746.55 | 8 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $369.66 – $896.72 | 8 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $156.10 – $5,475.08 | 9 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $7,475.30 | $7,475.30 | $338.40 – $7,026.78 | 9 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $195.54 – $469.64 | 9 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $6.53 – $16.35 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $358.82 – $767.96 | 8 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $110.32 – $332.79 | 9 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,881.26 – $6,302.85 | 8 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,264.29 – $2,763.39 | 8 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.77 – $1.89 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $405.04 – $860.80 | 8 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $86.05 – $215.08 | 7 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $5.17 – $12.93 | 7 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $3.98 – $9.94 | 7 |
| Train for caregiver add 15 HCPCS G0540 | $35.85 | $35.85 | $17.93 – $26.89 | 8 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $52.87 – $110.48 | 8 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $283.11 – $772.89 | 9 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,064.92 – $2,329.60 | 8 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,170.74 – $2,551.91 | 8 |
| Transcath biopsy CPT 37200 | $8,961.30 | $8,961.30 | $199.36 – $3,662.65 | 9 |
| Transcath closure of asd CPT 93580 | $11,513.70 | $11,513.70 | $881.65 – $9,671.51 | 9 |
| Transcath closure of vsd CPT 93581 | $10,374.70 | $10,374.70 | $1,195.71 – $8,714.75 | 9 |
| Transcatheter bx s&i CPT 75970 | $3,442.10 | $3,442.10 | $35.44 – $1,393.90 | 9 |
| Transcath mv repair addl prosthesis CPT 33419 | $15,719.35 | $15,719.35 | $382.43 – $13,204.25 | 9 |
| Transcath mv repair init prosthesis CPT 33418 | $31,438.75 | $31,438.75 | $1,635.83 – $26,408.55 | 9 |
| Transcath occlusion cns CPT 61624 | $9,857.15 | $9,857.15 | $1,065.26 – $8,280.01 | 9 |
| Transcath occlusion non-cns CPT 61626 | $9,857.15 | $9,857.15 | $834.88 – $7,005.68 | 9 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $1,420.04 – $3,112.45 | 8 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $5,598.50 | $5,598.50 | $462.38 – $4,702.74 | 9 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,307.49 – $4,945.23 | 8 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,709.95 – $6,006.67 | 8 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $383.26 – $5,980.72 | 8 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $3.75 – $19.08 | 7 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $2.84 – $10.22 | 7 |
| Transcutaneous methb CPT 88741 | not published | not published | $3.75 – $19.08 | 7 |
| Transect artery sinus CPT 61611 | not published | not published | $423.35 – $951.64 | 8 |
| Transect pulmonary artery CPT 33922 | not published | not published | $1,273.71 – $2,789.15 | 8 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $799.82 – $1,709.41 | 8 |
| Transfer of embryo CPT 58976 | not published | not published | $198.80 – $499.84 | 9 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $932.01 – $1,992.06 | 8 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $868.76 – $1,856.48 | 8 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $837.86 – $1,790.76 | 8 |
| Transferrin CPT 84466 | $172.85 | $172.85 | $6.30 – $99.83 | 9 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $385.76 – $1,051.07 | 9 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $671.01 – $1,435.58 | 8 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $744.63 – $1,592.15 | 8 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $4.78 – $11.97 | 7 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.72 – $4.26 | 7 |
| Transperi needle place pros CPT 55875 | not published | not published | $750.75 – $1,579.95 | 8 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $2,642.87 – $5,860.26 | 8 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $2,484.48 – $5,362.07 | 8 |
| Transplantation heart/lung CPT 33935 | not published | not published | $4,459.16 – $9,766.43 | 8 |
| Transplantation of heart CPT 33945 | not published | not published | $4,408.03 – $9,674.23 | 8 |
| Transplantation of liver CPT 47135 | not published | not published | $5,027.11 – $10,947.83 | 8 |
| Transplant femur ridge CPT 27140 | not published | not published | $861.80 – $1,840.91 | 8 |
| Transplant forearm tendon CPT 25310 | not published | not published | $601.76 – $1,287.14 | 8 |
| Transplant forearm tendon CPT 25312 | not published | not published | $693.87 – $1,480.32 | 8 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $840.42 – $1,784.64 | 8 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $926.14 – $1,973.75 | 8 |
| Transplant hand tendon CPT 26480 | not published | not published | $696.23 – $1,533.56 | 8 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $597.24 – $1,279.69 | 8 |
| Transplant palm tendon CPT 26485 | not published | not published | $808.20 – $1,714.84 | 8 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $879.73 – $1,882.94 | 8 |
| Transplant ureter to skin CPT 50860 | not published | not published | $898.22 – $1,910.04 | 8 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $118.56 – $248.76 | 8 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $231.36 – $485.31 | 8 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $120.54 – $253.51 | 8 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $170.68 – $358.55 | 8 |
| Transposition of vein valve CPT 34510 | not published | not published | $920.06 – $2,031.37 | 8 |
| Transposition ovary(s) CPT 58825 | not published | not published | $671.84 – $1,447.78 | 8 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $93.33 – $234.94 | 7 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $70.90 – $178.47 | 7 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $70.90 – $178.47 | 7 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $93.33 – $234.94 | 7 |
| Transtemporal approach/skull CPT 61595 | not published | not published | $2,246.68 – $4,886.26 | 8 |
| Transthor cath for stent CPT 33621 | not published | not published | $851.38 – $1,862.59 | 8 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,135.08 – $2,488.89 | 8 |
| Transthor diaphrag hern rpr CPT 43335 | not published | not published | $1,216.89 – $2,673.25 | 8 |
| Transurethral rf treatment CPT 53860 | not published | not published | $213.33 – $4,554.44 | 9 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $915.80 | $915.80 | $31.47 – $69.80 | 9 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $809.85 | $809.85 | $34.06 – $75.98 | 9 |
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $2,940.71 – $6,467.56 | 8 |
| Trapezius sling HCPCS L1070 | not published | not published | $80.08 – $201.58 | 7 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $1,677,717.10 | $1,677,717.10 | $76.18 – $230,346.40 | 9 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $13,665.70 | $13,665.70 | $13.45 – $4,587.81 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $12.64 – $29.47 | 8 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $3,567.40 | $3,567.40 | $1,280.62 – $2,329.74 | 9 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.54 – $8.86 | 7 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $24.49 – $100.98 | 7 |
| Treat ankle dislocation CPT 27842 | $652.90 | $652.90 | $221.99 – $613.73 | 9 |
| Treat ankle dislocation CPT 27846 | not published | not published | $694.17 – $1,496.59 | 8 |
| Treat ankle dislocation CPT 27848 | not published | not published | $758.15 – $1,619.94 | 8 |
| Treat ankle fracture CPT 28445 | not published | not published | $1,002.45 – $2,148.62 | 8 |
| Treat big toe fracture CPT 28505 | not published | not published | $479.81 – $1,261.16 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.